What factors are most likely to contribute to the problem of hypothermia that older adults may face intraoperatively and postoperatively? (Select all that apply.)
A) The normal body temperature of older adults that is often lower
B) The cool temperature of the operating rooms
C) The use of medications that slow metabolism
D) Fever from infection
Question 2When planning care for a patient with aphasia, the nurse should
a. talk loudly so he or she can hear.
b. refrain from giving explanations about procedures because the patient cannot understand them anyway.
c. provide as much environmental stimuli as possible to prevent feelings of isolation.
d. consider the type of aphasia that the patient has and adapt communication methods accordingly.
Question 3A patient, age 69, is being evaluated by a neurologist for signs of muscle rigidity, masklike face (area from forehead to chin), and propulsive gait. These signs are often characteristic of
a. multiple sclerosis.
b. Parkinsonism.
c. Alzheimer's disease.
d. epilepsy.
Question 4An elderly woman had cardiac surgery that was completed quickly and seemed successful, but she developed an infection and was given cephalosporins and ampicillin. After that, she developed paralytic ileus with a low-grade fever.
A chest X-ray appeared normal. Next, her kidneys failed. How might the kidney failure have been prevented in this patient? A) She should have been on a low-protein diet.
B) She should have been given different antibiotics.
C) Her ileus should have been treated.
D) The surgery should have taken longer.
Question 5During a shift assessment, the nurse is assessing the patient's point of maximum impulse (PMI). Where will the nurse best palpate and auscultate the PMI?
A) Left midclavicular line of the chest wall at the seventh intercostal space
B) Left midclavicular line of the chest wall at the fifth intercostal space
C) Right midclavicular line of the chest wall at the seventh intercostal space
D) Right midclavicular line of the chest wall at the fifth intercostal space
Question 6Older patients are particularly subject to several postoperative complications. Which of the following arrays of symptoms is indicative of respiratory complications?
A) Reduced activity and lowered resistance
B) Fever and dehydration
C) Negative chest X-ray thoracic distention
D) Decreased lung sounds and a low-grade fever
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